Senior Integrated Absence Specialist

Emploi pas sur LinkedIn

🕒 il y a 10 jours

🏄 California – Distant

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💵 $69 000 - $73 000 / an

⏰ Temps Plein

🟠 Senior

👻 Score fantôme 0%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of TRISTAR Insurance Group

TRISTAR Insurance Group

501 - 1000 employés

Fondée en 1987

💼 Conseil

🏥 Santé

📦 Logistique

Consulting • Healthcare • Logistics

Le groupe TRISTAR Insurance est un administrateur tiers (TPA) national qui offre des services de gestion d'assurance et de gestion des risques aux employeurs, assureurs et entités publiques. Ses solutions incluent les assurances biens et responsabilités, la gestion des accidents du travail, la responsabilité civile générale et automobile, les soins de santé gérés (révision des factures, gestion de cas, examen de l'utilisation, triage infirmier, gestion des avantages pharmaceutiques), la gestion de l'absence et de l'invalidité, l'administration des avantages sociaux des employés, ainsi que les services de contrôle des risques et de sécurité au travail. TRISTAR met l'accent sur des services collaboratifs, technologiquement avancés et sur mesure pour transformer le risque en opportunité pour ses clients.

Description

• Set up and administer Leave of Absence, Voluntary Disability, Paid Family Leave, Short Term Disability, and Long-Term Disability claims according to TRISTAR ICS protocols • Manage, track, and determine eligibility for job-protected federal, statutory, and employer-sponsored leaves, including FMLA, CFRA, PDL, and PLOA • Advise clients and staff on leave requirements, regulations, company benefits, and internal leave policies • Administer disability and paid family leave claims according to established procedures • Coordinate insured program coverage and administration with carriers • Maintain client and employee rapport to meet customer service goals • Administer check-cycle payments and procedures • Coordinate return-to-work efforts with claimants, providers, and clients • Answer telephone claim calls from claimants, clients, and carriers within 24 hours • Mentor and train staff and serve as a technical resource • Back up or fill in for the supervisor on administrative tasks • Perform other assigned duties

🎯 Exigences

• High school diploma or GED (minimum) • 5+ years of prior Leave of Absence and/or related disability experience • One year of experience in an administrative office environment (preferred) • Ability to operate efficiently with minimal supervision • Ability to document files accurately • Thorough understanding of federal and statutory FMLA, CFRA, and PDL regulations • Ability to integrate leave programs with VDI, STD, and VDI benefits • Computer proficiency in Word, Excel, and web applications • Ability to communicate effectively verbally and in writing with employees, supervisors, and external providers • Ability to educate and counsel on sensitive and complex issues • Planning and organization skills for multitasking in a high-volume, fast-paced environment • Ability to solve practical problems and interpret written, oral, diagrammatic, or scheduled instructions • Understanding of disability plan documents, SOC, and ERISA guidelines • CPDM preferred • General knowledge of benefit taxability • Ability to maintain a consistent work schedule and punctuality • Ability to use computers, 10-key, copiers, printers, fax machines, postal meters, telephone switchboards, and other office equipment • Appropriate office attire

🏖️ Avantages

• Fully remote work arrangement

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